Reimbursement Methods: Fee-For-Service vs Capitation

As the present USA healthcare trends focusing more on Reimbursement Methods like value-based care, the fee-for-service is under intense scrutiny. Often labeled as an antiquated payment model, it promoted over-utilization by physicians and patients, while creating fragmentation among healthcare service providers. The Affordable Care Act of 2010, along with MACRA legislation in the year 2015, […]

OB-GYN ICD 10 Coding Updates & Changes

With 2019 approaching, there has been a buzz about new medical billing codes. The year 2018 has been hectic for medical and healthcare industry professionals as ICD-10-CM codes introduced nearly 500 changes, 33 of them in Obstetrics and Gynecology, as well as in several other specialties. So, what’s new to expect in 2019 OB-GYN ICD […]

Is Outsourced HCC Coding The Right Choice For Your Practice?

HCC is also known as hierarchical condition category bank on ICD-10 coding. The coding is assigned to risk scores to patients. Each HCC is mapped to a precise ICD-10 code. Let MBC handle your HCC Coding so that you can focus on your core practice. In today’s hyperactive world, it’s easier than ever to connect […]

HCC Coding Services: Achieve Accurate HCC Risk Adjustment Coding

HCC Coding Services, a risk adjustment model that has been around for years, but has heightened visibility since Medicare Advantage Plans started to require RAF scores for reimbursement. Today ever commercial payer and coding leader is the eye for the same. Risk Adjustment – 101 The Risk Adjustment model uses a patient’s demographics which further […]

Why Choose to Outsource Medical Billing Services?

Getting onboard professionals to outsource medical billing services like MBC can dramatically streamline the workflow of your practice, further facilitating effective communication with your patients. Healthcare is constantly changing, with each year new coding rules and guidelines. It is practically impossible to learn and implement hence; outsourcing medical billing and coding services could be the […]

Gear Up For Cardiology Coding Guidelines 2021

You’d be facing e a whole slew of cardiology coding and reimbursement changes in 2021 – and if the preview of the ICD-10-CM updates has given you the clue of the awaiting changes, you should know that there are a lot of new, deleted, and revised codes to know. CMS is proposing huge changes for […]

In-house vs Outsource Medical Billing Services Ohio – Which Is the Best for Your Practice?

If you are trying to figure out between in-house Vs Outsource medical billing services; there are several considerations to take in. The present landscape for medical practices is a harsh one. Profitability isn’t near what it once was. In order to survive in today’s highly competitive climate your practice what is the best for your […]

Top 5 Medical Billing Companies Reviews

Medical billing companies are no longer back-office vendors — they are the operational infrastructure standing between your facility and seven-figure revenue leakage. With Medicare Fee-for-Service improper payments totaling $31.7 billion in 2023 alone (CMS Supplemental Improper Payment Report), the cost of choosing the wrong RCM partner has never been higher for enterprise healthcare groups generating […]

Cardiology Billing Guidelines Made Easier With Coding Alert

Cardiology Coding Guidelines Made Easier With Coding Alert

This year with the new cardiology Billing and guidelines, cardiologists are in a tight spot. Furthermore; CMS lowers the reimbursement as part of its multiple procedure payment reductions for imaging services. This will lead to a reduction of 22% on the technical modules of the lower-priced services. It is imperative to have the right coding […]

Are you Constantly Receiving Denial Code CO-197?

What is Pre Authorization? Most of the carriers request to obtain prior authorization from them before the service/surgery. Prior authorization for health care services is required for certain services. If authorization is not obtained prior to performing the service, the insurer may not reimburse for the procedure. Most services requiring prior authorizations are surgical procedures […]

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